HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMF _.D FOR APPLIaTION TO BE ACCEPTED A
Date: SCA Permit Number: uK/v)
_ NNED
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: 7041
PORT 5T. LUCIE. FL
Legal Description: ST. LUCIE OAKS COMMERCIAL LOT 2 (1.831 AC) (OR 3208-1423)
Property Tax ID #: 3422-600-0002-000-1
Site Plan Name:
Project Name: 70415 FEDERAL HWY PORT 5T. LUCIE, FL
Setbacks Front Back: Right Side: LeftSide:
DETAILED DESCRIPTION OF WORK:
INDIVIDUAL DIMEN51ONAL LETTERING INSTALLED ON BUILDING WALL
JUIUUIIUI WU10. LU UC CI WI II ICU UIIUCI UUb PC[ IIIIL—G
❑HVAC Gas Tank ❑Gas Piping
❑Electric 0Plumbing []Sprinklers
Total Sq. Ft of Construction: 26.2
Cost of Construction: $ 1,100
Lot No.
Block No.
Shutters ❑ Windows/Doors
Generator ❑ Roof ❑ Roof pitch
S . Ft. of First Floor: _
Utilities:Sewer ❑ Septic
Name LU50 HOLDINGS LLC
Address: 350 NE 6RAZILIAN CIR.
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name: ALAN MARCUS
Company: SIGN ITI INC.
Address: 639 NW BAKER RD
City: 5TUART State: FL
Zip Code: 34994 Fax:
Phone No. 772-692-2866
E-Mail: MAD5IGNTI5T@COMCASTNET
State or County License: #4559
If value of construction is $2500 or more, a RECORDED Notice of Commencement
q�s x 2.831 2L. I6 _-�
S PLEME EAL CONSp Ii( Tl®N LIEN LAW IN
ORMAlMr%ft
DESIGNER/ENGINEER: —Not
N a m e: PAUL WELCH INC.
Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress: ISM SW BILTMORE ST SUITE #14
Address:
City: PORT ST.LUCIE
Zip:34984 Phone772-7es.a8ae
State; FL
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
no
,e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the f*[st inspection. If you intend to obtain financing, consult with lender or an attorney before
commen0i ork or recording vour Notice of Commencement.
Signature of Contractor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLO I
STATE OF FLORIDAA
COUNTY OF
COUNTY OF
The forgoing instrum nt was acknowledged before me
The forgoing instrumen was acknowledged before me
this Wday of Qv�201i by
ChJLi Lr ~f
this _�Lday ofSJylf 20A by
Name of person making statement /
Name df person making statement
Personally Known OR Produced Identification V
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced rjen d r. �n�i 11 Cdn3,
ProducedFluri �d- bnVe r 1 l aLe -
(Sig ature of No ary Public- State of Florida)
(Sig ature of Notary Public- State of Florida )
Commission No. aq a.b2l. (Seal)
Commission No. 0,149 auZ2 (Sea,!)✓ `.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANV
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REV
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
7l5/r8
Rev.8/2/17
NOELLE L SOTOMAYOR
NOELLE L SOTOMAYOR
Stan Public- Stateof Florida
"Fyq`,F` My Comm. Expires Jan 29.2022
My Comm. Expires Jan 29.2022 ...